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Deficiency Records for Pottstown Skilled Nursing and Rehabilitation Cente
A list of the most recent deficiencies for Pottstown Skilled Nursing and Rehabilitation Cente. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Pottstown Skilled Nursing and Rehabilitation Cente. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Use approved construction type or materials. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-09 | 2024-09-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-27 | 2024-07-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-27 | 2024-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-27 | 2024-07-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-27 | 2024-07-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-27 | 2024-07-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-15 | 2023-06-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-05 | 2023-06-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-05 | 2023-06-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-05 | 2023-06-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-05 | 2023-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-05 | 2023-06-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-05 | 2023-06-26 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-05-05 | 2023-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-05 | 2023-06-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-05-05 | 2023-06-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-16 | 2022-11-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-16 | 2022-11-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-19 | 2022-11-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-16 | 2022-08-01 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-06-16 | 2022-08-01 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-06-16 | 2022-08-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-16 | 2022-08-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-16 | 2022-08-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-24 | 2022-08-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-21 | 2022-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-23 | 2021-11-15 | Y |
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